| Ophthalmic Holdings Inc | |
|
114 Central Ave Nw, Orange City, IA 51041-9999 | |
| (712) 737-4246 | |
| (712) 707-9855 |
| Full Name | Ophthalmic Holdings Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 114 Central Ave Nw, Orange City, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548230410 | NPI | - | NPPES |
| 0436246 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Timothy S Hickman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740253202 PECOS PAC ID: 8224092580 Enrollment ID: I20041116000864 |
| Provider Name | Paul W Beaver |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033392824 PECOS PAC ID: 3971684531 Enrollment ID: I20080122000085 |
| Provider Name | Aric Waltz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609491422 PECOS PAC ID: 9032530498 Enrollment ID: I20210629000922 |
| Mailing Address | Practice Location Address |
|---|---|
| Ophthalmic Holdings Inc 114 Central Ave Nw, Orange City, IA 51041-1458 Ph: (712) 737-4246 | Ophthalmic Holdings Inc 114 Central Ave Nw, Orange City, IA 51041-9999 Ph: (712) 737-4246 |
David L Gohman, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 110 2nd St Nw, Orange City, IA 51041 Phone: 712-737-2126 Fax: 712-737-3022 | |
David L Gohman Od Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 110 2nd St Nw, Orange City, IA 51041 Phone: 712-737-2126 Fax: 712-737-3022 | |
Dr. Timothy Scott Hickman, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 114 Central Ave Nw, Orange City, IA 51041 Phone: 712-737-4246 Fax: 712-707-9855 |